The Upper Extremity 405
Shoulder Extension
In open kinematic chain movements, shoulder exten-
sion often involves moving the arm backward and
downward from a position of flexion (such as from
high fifth to low fifth) in approximately the sagittal
plane. However, when the torso is upright, gravity
will tend to produce this movement, and shoulder
extension is primarily controlled with eccentric con-
traction of the shoulder flexors and scapular upward
rotators. However, if the arm is brought beyond
anatomical position (hyperextension), where the
motion is now against gravity (as seen with the right
arm in figure 7.27), or if the motion is opposed by
another external resistance such as a wall pulley,
elastic tubing, or springs (e.g., sitting row [table
7.10D, p. 435] or triceps kick back [table 7.10, E
and O, pp. 436 and 444]), the shoulder extensors—
including the posterior deltoid, latissimus dorsi,
and teres major—would be used concentrically to
produce the desired extension, accompanied by
relative scapular adduction, and downward rotation
(rhomboids, levator scapulae, and lower trapezius
to neutralize undesired elevation). Similarly, with
a pull-up (closed kinematic chain), extension
would occur against gravity (e.g., lifting the body
up against gravity), and the shoulder extensors
(including the pectoralis major [sternal], latissimus
dorsi, and teres major) would work concentrically
on the up-phase to produce this shoulder extension.
Here, this hanging position would tend to produce
extreme elevation of the scapulae, and forceful and
deliberate scapular depression (lower trapezius,
serratus anterior) would ideally accompany shoulder
extension.
Shoulder Abduction
When the hand is free to move (open kinematic
chain), shoulder abduction refers to moving the
arm sideways away from the midline of the body
in approximately the frontal plane, as in raising
the arms to the side from low fifth to high fifth,
jumping jacks, or the side arm raise (table 7.10F,
p. 437) performed with a weight. In dance, one or
both arms are often held in a position of about 90°
abduction to facilitate balance or achieve aesthetic
goals (as seen with the left arm in figure 7.28). The
shoulder abductors—particularly the supraspinatus
and deltoid—would be used to effect these motions.
When the shoulder is externally rotated, the biceps
brachii can also aid with shoulder abduction (Smith,
Weiss, and Lehmkuhl, 1996). When the arms are
raised above shoulder height, the clavicular por-
tion of the pectoralis major can also assist with
abduction (table 7.4). Shoulder abduction (greater
FIGURE 7.27 Sample dance movement showing
shoulder extension.
Shoulder movement Primary muscles Secondary muscles
Horizontal abduction Middle deltoid
Posterior deltoid
Infraspinatus
Teres minor
Latissimus dorsi
Teres major
Horizontal adduction Anterior deltoid
Pectoralis major
Biceps brachii (short head)
Coracobrachialis